Active NPI
Casey Jordan
- Mental Health Counselor
- Seattle, WA
National Provider Identifier
1326694126
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LH61478953
- Practice address
- 600 N 36TH St Ste 224
Seattle, WA 98103-8697 - Phone
- (206) 451-7030
- NPI assigned
- Aug 16, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LH61478953 | WA | Primary |
Addresses
Primary practice location
600 N 36TH St Ste 224
Seattle, WA 98103-8697
Mailing address
2706 Westlake Ave N Apt 10
Seattle, WA 98109-1950
Phone (206) 451-7030
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LH61478953 | WA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seattle Counseling Center | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Seattle, WA
- NPI 1396958302
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704326400000",
"number": "1326694126",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2706 WESTLAKE AVE N APT 10",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981091950",
"telephone_number": "206-451-7030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 N 36TH ST STE 224",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981038697",
"telephone_number": "206-451-7030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JORDAN",
"first_name": "CASEY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-08-16",
"last_updated": "2024-01-04",
"certification_date": "2024-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "LH61478953",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.